Acute coronary syndrome with severe atherosclerotic and hyperthyroidism: A case report  

作　　者：Hai-Mei Zhu Yi Zhang Yun Tang Hua Yuan Zhen-Xian Li Yun Long 

机构地区：[1]Department of Pain,The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,Hunan Province,China [2]The Graduate School,Hunan University of Chinese Medicine,Changsha 410208,Hunan Province,China [3]Department of Cardiology,The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,Hunan Province,China

出　　处：《World Journal of Clinical Cases》2021年第27期8127-8134,共8页世界临床病例杂志

基　　金：Supported by Science and Technology Planning Project of Hunan Province,No.2018JJ2304;the Research Foundation of Hunan University of Chinese Medicine,No.2019XJJJ042.

摘　　要：BACKGROUND Acute coronary syndrome(ACS)encompasses a spectrum of cardiovascular emergencies arising from the obstruction of coronary artery blood flow and acute myocardial ischemia.Recent studies have revealed that thyroid function is closely related to ACS.However,only a few reports of thyrotoxicosis-induced ACS with severe atherosclerosis have been reported.CASE SUMMARY A 33-year-old man,who had a history of hyperthyroidism without taking any antithyroid drugs and no history of coronary heart disease,experienced neck pain with occasional heart palpitations starting 3 mo prior that were aggravated after an activity.As the symptoms worsened at 21 d prior,he went to a hospital for treatment.The electrocardiogram examination showed a multilead ST segment elevation and pathological Q waves.Based on these findings and his symptoms,the patient was diagnosed with a suspected myocardial infarction and transferred to our hospital on July 2,2020.He was diagnosed with a rare case of ACS due to coronary artery atherosclerosis in the anterior descending artery complicated by hyperthyroidism.A paclitaxel-coated drug balloon was used for treatment to avoid the use of metal stents,thus reducing the time of antiplatelet therapy and facilitating the continued treatment of hyperthyroidism.The 9-mo follow-up showed favorable results.CONCLUSION This case highlights that atherosclerosis is a cause of ACS that cannot be ignored even in a patient with hyperthyroidism.

关 键 词：Acute coronary syndrome ATHEROSCLEROSIS HYPERTHYROIDISM Paclitaxelcoated drug balloon Case report 

分 类 号：R541.4[医药卫生—心血管疾病] R581.1[医药卫生—内科学]